Arthrodesis of the Shoulder

Uematsu, Ariniwa

doi:10.1097/00003086-197903000-00029

Cited by 7 publications

(7 citation statements)

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“…1,11,29,32,38,40,59,60 The number of humerus-glenoid screws used and the total number of screws used altogether vary from 0 to 4, † † and the number of acromion-humerus screws varies from 0 to 2. 5,10,29,55 Fixation by screws was undertaken 62 times in the 71 shoulder arthrodesis cases followed up by Cofield and Briggs.…”

Section: Discussionmentioning

confidence: 99%

“…Arthrodesis of the humeral head and glenoid without acromiohumeral fusion was mentioned † † References 3,5,10,13,16,19,29,47,55,59,60. in the literature, 3,10,16,59 as well as the combination of both (humerus-glenoid and acromion-humerus).…”

Section: Discussionmentioning

confidence: 99%

“…in the literature, 3,10,16,59 as well as the combination of both (humerus-glenoid and acromion-humerus). 1,5,11,29,47,55,60 An acromion-humerus fusion without simultaneous glenohumeral arthrodesis has only been performed on rare occasions.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Shoulder arthrodesis: Indications, technique, results, and complications

Rühmann

Schmolke

Bohnsack

et al. 2005

Journal of Shoulder and Elbow Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Shoulder arthrodesis: Indications, technique, results, and complications

Rühmann

Schmolke

Bohnsack

et al. 2005

Journal of Shoulder and Elbow Surgery

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“…Few details are given about the screws used and their position. 1,7,15,[17][18][19]21,30,31 Various cancellous bone screws and/or cortical screws are used in a number of different positions. The number of humerus-glenoid screws used and the total number of screws vary from 0 to 4, and the number of acromion-humerus screws varies from 0 to 2.…”

Section: Discussionmentioning

confidence: 99%

“…Methods described are glenohumeral (intraarticular) 2,6,9,30 and acromiohumeral (extraarticular) 11 shoulder arthrodeses as well as a combination of both methods. 1,3,7,15,22,[24][25][26][27][28][29]31 The choice of fixation for osteosynthesis is extremely varied.…”

mentioning

confidence: 99%

Primary stability of shoulder arthrodesis using cannulated cancellous screws

Rühmann¹,

Kirsch²,

Büch³

et al. 2005

Journal of Shoulder and Elbow Surgery

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Schulterarthrodese

et al. 2004

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Besides the paralysis of shoulder muscles, large rotator cuff tears beyond repair, persistent shoulder instability with repeat dislocations and resection cases are recent indications for shoulder arthrodesis. The fusion of the shoulder is particularly useful since, despite immobilization of the glenohumeral and acromiohumeral joints, no loss of function is experienced; on the contrary, in many cases an increase of active total mobility may occur. According to the functional outcome, the majority of reports vary between 30 degrees and 90 degrees of active abduction and forward flexion with a mean value of about 60 degrees The most generally accepted arthrodesis position is 20 degrees -40 degrees abduction, forward flexion and internal rotation in relation to the trunk. This position results in a maximum development of muscle power and ensures that the arm will rest comfortably at the side, and that the scapula will not protrude. This also allows the hand to reach the head and facial region. The literature is not confined to any uniform type of arthrodesis and it would appear that the techniques and configurations of material vary considerably. A general advantage of any one particular form of arthrodesis, and the use of plates, screws or external fixators, cannot be deduced. Pseudarthrosis appears to be less frequent in cases of plate arthrodesis compared to screw arthrodesis. However, the application of plates more often results in infections, postoperative fractures of the humerus and the necessary removal of material. Screw arthrodesis is more beneficial in that the exposed area to be operated is smaller than in plate arthrodesis. Postoperative immobilization is more time consuming and, therefore, constitutes one of the disadvantages of screw fixation.

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Arthrodesis of the Shoulder

Cited by 7 publications

References 0 publications

Shoulder arthrodesis: Indications, technique, results, and complications

Shoulder arthrodesis: Indications, technique, results, and complications

Primary stability of shoulder arthrodesis using cannulated cancellous screws

Schulterarthrodese

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